| NPI | 1144727223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: NV 25162) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NV 25162) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2024-08-12 |